Reducing depression to `checklist of symptoms'

1. Reducing depression to `checklist of
symptoms' not of much use
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2. Contd…
New research has revealed that depression is too often reduced to a
checklist of symptoms. How can you tell if someone is depressed? The
Diagnostic and Statistical Manual of Mental Disorders (DSM) the `bible' of
psychiatry diagnoses depression when patients tick off a certain number of
symptoms on the DSM checklist. A large-scale quantitative study coordinated
at KU Leuven, Belgium, now shows that some symptoms play a much bigger
role than others in driving depression, and that the symptoms listed in DSM
may not be the most useful ones.
To diagnose depression, psychiatrists typically tally up the number of
depression symptoms that patients report in questionnaires. It does not
matter which of the symptoms these patients have, as long as they have a
certain number of them.
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3. Contd…
People need to stop thinking of depression as a disease that causes a
number of interchangeable symptoms, says lead author Eiko Fried, adding
that depression is a complex, extremely heterogeneous system of interacting
symptoms and some of these symptoms may be far more important than
others.
So where does that leave psychiatry?
Has the time come to chuck the DSM checklist of depression symptoms?
“Ideally , the list of depression symptoms should become more
comprehensive to do justice to the heterogeneity of depression. I also think
both clinicians and researchers can learn a lot from paying more attention to
individual symptoms and their interactions. But of course, we need much
more research before we can actually replace the DSM diagnosis of
depression with something else,“ noted Fried.
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